SU1355266A1 - Arrangement for dissection of constrictions of tubular organs - Google Patents
Arrangement for dissection of constrictions of tubular organs Download PDFInfo
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- SU1355266A1 SU1355266A1 SU853985582A SU3985582A SU1355266A1 SU 1355266 A1 SU1355266 A1 SU 1355266A1 SU 853985582 A SU853985582 A SU 853985582A SU 3985582 A SU3985582 A SU 3985582A SU 1355266 A1 SU1355266 A1 SU 1355266A1
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- wire
- working end
- catheter
- dissection
- olive
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Abstract
Изобретение предназначено дл хирургического лечени сужени больного дуоденального соска. Цель изобретени - сокращение времени проведени операции. Устройство выполнено в виде катетера 1 из эластичного материала с оливообразным расширением 2 на рабочем конце. В просвете катетера расположен мандрен 3, изогнутый в рабочей части, с проволокой 4, выход щей через отверстие 5 в оливообразном расщирении. Рабочий конец проволоки 4 прикреплен к рабочему концу 6. На нерабочем конце проволоки 4 имеетс отметка 7 дл определени рассто ни , на которое необходимо подт гивать проволоку 4 при проведении рассечени сужений. При проведении устройства через большой дуоденальный сосок, имеющий сужение, в просвет двенадцатиперстной кишки оливообразное расширение не проходит. Проволоку 4 подт гивают до отметки 7, рабочий конец проволоки плотно соприкасаетс с суженным фрагментом, после чего включают коагул тор . После рассечени оливообразное расширение свободно проходит через большой дуоденальный сосок. Устройство обеспечивает ускорение папиллосфинктеротомии. 2 ил. (Л со СП ел ьс О5 О) Фиг. Фиг. гThe invention is intended for the surgical treatment of the constriction of a diseased duodenal nipple. The purpose of the invention is to reduce the time of the operation. The device is made in the form of a catheter 1 of elastic material with an olive-like extension 2 at the working end. In the lumen of the catheter there is a mandrel 3, bent in the working section, with a wire 4 exiting through the opening 5 in an olive-like extension. The working end of the wire 4 is attached to the working end 6. At the non-working end of the wire 4, there is a mark 7 to determine the distance to which the wire 4 must be pulled when cutting the tapers. When a device is conducted through a large duodenal nipple, which has a narrowing, an olivoobrazny expansion does not pass into the lumen of the duodenum. Wire 4 is pulled up to mark 7, the working end of the wire is in close contact with the narrowed fragment, after which the coagulator is turned on. After dissection, the oliviform expansion passes freely through the large duodenal nipple. The device provides the acceleration of papillosphincterotomy. 2 Il. (L with SP els O5 O) FIG. FIG. g
Description
Изобретение относитс к медицине, в частности к медицинской технике, и может быть использовано при хирургическом лечении сужени большого дуоденального соска.The invention relates to medicine, in particular to the medical technology, and can be used in the surgical treatment of the narrowing of the large duodenal papilla.
Цель изобретени - сокращение времени проведени операции.The purpose of the invention is to reduce the time of the operation.
На фиг. 1 изображено предложенное устройство , общий вид; на фиг. 2 - то же, при сгибании рабочего конца.FIG. 1 shows the proposed device, a general view; in fig. 2 - the same, when bending the working end.
Устройство дл рассечени сужений трубчатых органов выполнено из эластичного материала в виде катетера 1 с оливообраз- ным расширением 2 на рабочем конце, содержащего в своем просвете полый металлический мандрен 3, изогнутый в рабочей части с проволокой 4, внутри и имеющего в оливообразном расширении в месте выхода проволоки отверстие 5. Рабочий конец проволоки 4 прикрепл етс к рабочему концу 6 катетера 1, на проволоке 4 на нерабочем конце ее имеетс отметка 7 дл определени рассто ни , на которое необходимо подт гивать проволоку 4 дл рассечени сужений .The device for dissecting the contractions of tubular organs is made of elastic material in the form of a catheter 1 with an olive-like extension 2 at the working end, containing in its lumen a hollow metal mandrel 3, bent in the working part with wire 4, inside and having an olive-shaped extension at the exit point wire hole 5. The working end of the wire 4 is attached to the working end 6 of the catheter 1, on the wire 4 at its non-working end there is a mark 7 to determine the distance that the wire 4 needs to be pulled for section of the waist.
Устройство используют следующим образом .The device is used as follows.
Под наркозом п-роизвод т лапаротомию и холецистэктомию. Далее производ ет холе- дохотомию - вскрытие общего желчного протока. Через холедохотомическое отверстие в дистальном направлении ввод т устройство и провод т его через большой дуоденальный сосок в просвет двенадцатиперстной кишки, что определ етс хирургом путем пальпации передней стенки двенадцатиперстной кишки. Если имеетс сужение большого дуоденального соска, то оливо- образно расширенный участок устройстваUnder anesthesia, laparotomy and cholecystectomy are performed. Next, it produces cholestrophy - opening the common bile duct. A device is inserted through the choledochotomy in the distal direction and guided through the large duodenal nipple into the duodenal lumen, which is determined by the surgeon by palpating the anterior wall of the duodenum. If there is a narrowing of the large duodenal papilla, then an olive-extended area of the device
00
через него не проходит. Затем проволоку 4 подт гивают до отметки 7. При этом рабочий конец устройства принимает форму тетивы и рабочий конец проволоки плотно соприкасаетс с суженным сегментом большого дуоденального соска. Проволоку 4 подсоедин ют к электрохирургической аппаратуре (коагул тору) и путем прерывистого подключени тока с одновременным продвижением устройства в направлении полости двенадцатиперстной кишки осуществл ют операцию . Как только суженный участок большого дуоденального соска устран етс (рассекаетс ), оливообразное расширение устройства свободнб проходит через большой дуоденальный сосок.does not pass through it. Then the wire 4 is pulled up to the mark 7. At the same time, the working end of the device takes the form of a bowstring and the working end of the wire closely contacts the narrowed segment of the large duodenal teat. The wire 4 is connected to an electrosurgical apparatus (coagulant) and by intermittently connecting the current while simultaneously moving the device in the direction of the duodenal cavity, the operation is carried out. As soon as the narrowed area of the large duodenal papilla is removed (dissected), the olive-like expansion of the device passes freely through the large duodenal nipple.
Использование устройства позвол ет значительно ускорить папиллосфинктеро- томию за счет возможности безопасного и быстрого проведени рабочей части устрой- 0 ства через суженный большой дуоденальный сосок почти во всех случа х, а также стандартизировать рассечение.The use of the device makes it possible to significantly accelerate papilosphincterotomy due to the possibility of safely and quickly conducting the working part of the device through the narrowed large duodenal nipple in almost all cases, as well as to standardize the dissection.
Кроме того, при проведении манипул ции данным устройством снижаетс травматич- ность операции благодар использованиюIn addition, when manipulating this device, the trauma of the operation is reduced by using
5five
5five
эластичных зондов.elastic probes.
Claims (1)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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SU853985582A SU1355266A1 (en) | 1985-12-05 | 1985-12-05 | Arrangement for dissection of constrictions of tubular organs |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SU853985582A SU1355266A1 (en) | 1985-12-05 | 1985-12-05 | Arrangement for dissection of constrictions of tubular organs |
Publications (1)
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SU1355266A1 true SU1355266A1 (en) | 1987-11-30 |
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Application Number | Title | Priority Date | Filing Date |
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SU853985582A SU1355266A1 (en) | 1985-12-05 | 1985-12-05 | Arrangement for dissection of constrictions of tubular organs |
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SU (1) | SU1355266A1 (en) |
Cited By (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1993024062A1 (en) * | 1992-05-22 | 1993-12-09 | Laparomed Corporation | Electrosurgical wire tissue cutter |
US5415656A (en) * | 1993-09-28 | 1995-05-16 | American Medical Systems, Inc. | Electrosurgical apparatus |
US5547469A (en) * | 1994-05-13 | 1996-08-20 | Boston Scientific Corporation | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
US6277083B1 (en) | 1999-12-27 | 2001-08-21 | Neothermia Corporation | Minimally invasive intact recovery of tissue |
US6471659B2 (en) | 1999-12-27 | 2002-10-29 | Neothermia Corporation | Minimally invasive intact recovery of tissue |
US6514248B1 (en) | 1999-10-15 | 2003-02-04 | Neothermia Corporation | Accurate cutting about and into tissue volumes with electrosurgically deployed electrodes |
US6689145B2 (en) | 1998-09-03 | 2004-02-10 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6702831B2 (en) | 1998-09-03 | 2004-03-09 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6936014B2 (en) | 2002-10-16 | 2005-08-30 | Rubicor Medical, Inc. | Devices and methods for performing procedures on a breast |
US7029451B2 (en) | 2002-11-06 | 2006-04-18 | Rubicor Medical, Inc. | Excisional devices having selective cutting and atraumatic configurations and methods of using same |
US7044956B2 (en) | 2002-07-03 | 2006-05-16 | Rubicor Medical, Inc. | Methods and devices for cutting and collecting soft tissue |
US7122011B2 (en) | 2003-06-18 | 2006-10-17 | Rubicor Medical, Inc. | Methods and devices for cutting and collecting soft tissue |
US7645254B2 (en) | 1994-05-13 | 2010-01-12 | Boston Scientific Scimed, Inc. | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
RU200629U1 (en) * | 2020-06-23 | 2020-11-02 | Акционерное общество "Научно-исследовательский институт "Полюс" им. М.Ф. Стельмаха" | Laser polypectomy device |
-
1985
- 1985-12-05 SU SU853985582A patent/SU1355266A1/en active
Non-Patent Citations (1)
Title |
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Долецкий С. Я. и др. Высокочастотна электрохирурги . М.: Медицина, 1980, с. 143-144. * |
Cited By (25)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1993024062A1 (en) * | 1992-05-22 | 1993-12-09 | Laparomed Corporation | Electrosurgical wire tissue cutter |
US5415656A (en) * | 1993-09-28 | 1995-05-16 | American Medical Systems, Inc. | Electrosurgical apparatus |
US6547758B1 (en) | 1994-05-13 | 2003-04-15 | Scimed Life Systems, Inc. | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
US5547469A (en) * | 1994-05-13 | 1996-08-20 | Boston Scientific Corporation | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
US5643199A (en) * | 1994-05-13 | 1997-07-01 | Boston Scientific Corporation | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
US5868698A (en) * | 1994-05-13 | 1999-02-09 | Boston Scientific Corporation | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
US7645254B2 (en) | 1994-05-13 | 2010-01-12 | Boston Scientific Scimed, Inc. | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
US6443924B1 (en) | 1994-05-13 | 2002-09-03 | Scimed Life Systems, Inc. | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
US6764495B2 (en) | 1998-09-03 | 2004-07-20 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6689145B2 (en) | 1998-09-03 | 2004-02-10 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6702831B2 (en) | 1998-09-03 | 2004-03-09 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6849080B2 (en) | 1998-09-03 | 2005-02-01 | Rubicon Medical, Inc. | Excisional biopsy device and methods |
US6863676B2 (en) | 1998-09-03 | 2005-03-08 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US7303531B2 (en) | 1998-09-03 | 2007-12-04 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6514248B1 (en) | 1999-10-15 | 2003-02-04 | Neothermia Corporation | Accurate cutting about and into tissue volumes with electrosurgically deployed electrodes |
US6471659B2 (en) | 1999-12-27 | 2002-10-29 | Neothermia Corporation | Minimally invasive intact recovery of tissue |
US6277083B1 (en) | 1999-12-27 | 2001-08-21 | Neothermia Corporation | Minimally invasive intact recovery of tissue |
US7044956B2 (en) | 2002-07-03 | 2006-05-16 | Rubicor Medical, Inc. | Methods and devices for cutting and collecting soft tissue |
US8066727B2 (en) | 2002-07-03 | 2011-11-29 | Rubicor Medical Llc | Methods and devices for cutting and collecting soft tissue |
US7438693B2 (en) | 2002-10-16 | 2008-10-21 | Rubicor Medical, Inc. | Devices and methods for performing procedures on a breast |
US6936014B2 (en) | 2002-10-16 | 2005-08-30 | Rubicor Medical, Inc. | Devices and methods for performing procedures on a breast |
US7029451B2 (en) | 2002-11-06 | 2006-04-18 | Rubicor Medical, Inc. | Excisional devices having selective cutting and atraumatic configurations and methods of using same |
US7122011B2 (en) | 2003-06-18 | 2006-10-17 | Rubicor Medical, Inc. | Methods and devices for cutting and collecting soft tissue |
US7615013B2 (en) | 2003-06-18 | 2009-11-10 | Rubicor Medical, Inc. | Methods and devices for cutting and collecting soft tissue |
RU200629U1 (en) * | 2020-06-23 | 2020-11-02 | Акционерное общество "Научно-исследовательский институт "Полюс" им. М.Ф. Стельмаха" | Laser polypectomy device |
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