DE20220338U1 - Intra-mural artery ligation apparatus, comprises a proximal region with a hand grip, a tube and a distal region containing an ultrasound probe - Google Patents

Intra-mural artery ligation apparatus, comprises a proximal region with a hand grip, a tube and a distal region containing an ultrasound probe

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Publication number
DE20220338U1
DE20220338U1 DE20220338U DE20220338U DE20220338U1 DE 20220338 U1 DE20220338 U1 DE 20220338U1 DE 20220338 U DE20220338 U DE 20220338U DE 20220338 U DE20220338 U DE 20220338U DE 20220338 U1 DE20220338 U1 DE 20220338U1
Authority
DE
Germany
Prior art keywords
tube
proximal
distal
light
handle
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
DE20220338U
Other languages
German (de)
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
AMI GmbH
Original Assignee
AMI GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by AMI GmbH filed Critical AMI GmbH
Priority claimed from EP02002315A external-priority patent/EP1234539A3/en
Publication of DE20220338U1 publication Critical patent/DE20220338U1/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661—Endoscope light sources
    • A61B1/0669—Endoscope light sources at proximal end of an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661—Endoscope light sources
    • A61B1/0684—Endoscope light sources using light emitting diodes [LED]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/31—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062—Needle manipulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/345—Cannulas for introduction into a natural body opening
    • A61B2017/3452—Cannulas for introduction into a natural body opening for the rectum, e.g. for hemorrhoid surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound

Abstract

An arrangement for use during the ligation of intra-mural arteries in hollow members, comprises a hand grip (2) and a tube (1) which is placed in the hollow member, especially the rectum. The arrangement has a proximal region (3) where the hand grip is located, and a distal region (4) containing an ultrasound probe (6) for localizing an artery and an opening (7). An arrangement for use during the ligation of intra-mural arteries in hollow members, comprises a hand grip (2) and a tube (1) which is placed in the hollow member, especially the rectum. The arrangement has a proximal region (3) where the hand grip is located, and a distal region (4) containing an ultrasound probe (6) for localizing an artery and an opening (7). The arrangement also has an illumination unit composed of a light guide (10) which passes light from the proximal to the distal end of the unit. The tube consists of polycarbonate or polysulfone.

Description

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßtThe description text was not recorded electronically

Claims (15)

1. Einrichtung zur Verwendung bei der Ligatur von intramuralen Arterien in Hohlorganen, welche einen Handgriff (2) und einen in das Hohlorgan, insbesondere das Rektum ein­ zuführenden Tubus (1) umfaßt, wobei die Einrichtung einen proximalen Bereich (3), in dem der Handgriff (2) angeordnet ist, und einen distalen Bereich (4) aufweist, in dem ei­ ne Ultraschallsonde (6) für die Lokalisation einer Arterie und eine Behandlungsöffnung (7) angeordnet sind, und wobei eine Beleuchtungseinrichtung vorgesehen ist, dadurch gekennzeichnet, daß die Beleuchtungseinrichtung ein Lichtleitmittel (10; 40) umfaßt, mit­ tels dem Licht vom proximalen zum distalen Bereich der Einrichtung geleitet wird.1. Device for use in the ligature of intramural arteries in hollow organs, which comprises a handle ( 2 ) and a tube ( 1 ) feeding the hollow organ, in particular the rectum, the device comprising a proximal area ( 3 ) in which the Handle ( 2 ) is arranged, and has a distal region ( 4 ) in which egg ne ultrasound probe ( 6 ) for the localization of an artery and a treatment opening ( 7 ) are arranged, and wherein a lighting device is provided, characterized in that the Lighting device comprises a light guide means ( 10 ; 40 ) with which the light is guided from the proximal to the distal region of the device. 2. Einrichtung nach Anspruch 1, dadurch gekennzeichnet, daß das Lichtleitmittel ein vom proximalen zum distalen Bereich der Einrichtung verlaufender Lichtleiter (10) ist, dessen proximales Ende vor einem im proximalen Bereich (3) der Einrichtung angeordneten lichterzeugenden Element, vorzugsweise einer LED (5), liegt und von dessen distalem Ende Licht zumindest teilweise in Richtung zur Behandlungsöffnung (7) abgestrahlt wird, wobei die Abstrahlung von proximal nach distal gerichtet ist, vorzugsweise winkelig zur Längsachse des Tubus (1).2. Device according to claim 1, characterized in that the light-guiding means is a light guide ( 10 ) running from the proximal to the distal area of the device, the proximal end of which is arranged in front of a light-generating element, preferably an LED ( 5. ) Arranged in the proximal area ( 3 ) of the device ), and from the distal end of which light is emitted at least partially in the direction of the treatment opening ( 7 ), the radiation being directed from proximal to distal, preferably at an angle to the longitudinal axis of the tube ( 1 ). 3. Einrichtung nach Anspruch 2, dadurch gekennzeichnet, daß der Tubus (1) und der Handgriff (2) aus linken und rechten Halbschalen bestehen, wobei die jeweilige Halb­ schale des Handgriffs (2) einstückig mit der jeweils entsprechenden Halbschale des Tu­ bus (1) ausgebildet ist.3. Device according to claim 2, characterized in that the tube ( 1 ) and the handle ( 2 ) consist of left and right half-shells, the respective half-shell of the handle ( 2 ) in one piece with the corresponding half-shell of the Tu bus ( 1st ) is trained. 4. Einrichtung nach Anspruch 1, dadurch gekennzeichnet, daß das Lichtleitmittel von dem aus einem lichtdurchlässigen Material bestehenden Tubusmantel (40) gebildet wird, in welchen durch dessen proximale Stirnfläche (39) von mindestens drei in Umfangsrich­ tung der ringförmig ausgebildeten proximalen Stirnfläche (39) des Tubusmantels (40) voneinander beabstandeten LEDs (5) Licht eingestrahlt wird und in den distalen Bereich (4) der Einrichtung geleitet wird. 4. Device according to claim 1, characterized in that the light-guiding means is formed by the tube jacket ( 40 ) consisting of a translucent material, in which through the proximal end face ( 39 ) of at least three devices in the circumferential direction of the annular proximal end face ( 39 ) of the tube jacket ( 40 ) spaced apart LEDs ( 5 ) light is irradiated and directed into the distal region ( 4 ) of the device. 5. Einrichtung nach Ansprüch 4, dadurch gekennzeichnet, daß der Tubus (1) aus Polycar­ bonat oder Polysulfon besteht.5. Device according to claims 4, characterized in that the tube ( 1 ) consists of polycarbonate or polysulfone. 6. Einrichtung nach Anspruch 4 oder Anspruch 5, dadurch gekennzeichnet, daß die Licht­ leitung im Tubus (1) mittels Totalreflektion erfolgt.6. Device according to claim 4 or claim 5, characterized in that the light conduction in the tube ( 1 ) takes place by means of total reflection. 7. Einrichtung nach Anspruch 6, dadurch gekennzeichnet, daß die innere Mantelfläche (8) des Tubus in einem der Behandlungsöffnung (7) gegenüberliegenden Bereich (41) und/oder die Innenseite der distalen Stirnwandung (43) des Tubus (1) in einem Bereich (42) aufgerauht ist.7. Device according to claim 6, characterized in that the inner lateral surface ( 8 ) of the tube in a treatment opening ( 7 ) opposite area ( 41 ) and / or the inside of the distal end wall ( 43 ) of the tube ( 1 ) in one area ( 42 ) is roughened. 8. Einrichtung nach einem der Ansprüche 1 bis 2 oder einem der Ansprüche 4 bis 7, da­ durch gekennzeichnet, daß der Handgriff (2) an einem Anschlußstück (29) festgelegt ist und der Tubus (1) abnehmbar mit dem Anschlußstück (29) verbunden ist, vorzugsweise mittels eines Bajonettverschlusses oder mittels einer Überwurfmutter (37), die auf ein Außengewinde (36) des Anschlußstücks (29) aufschraubbar ist und einen Ringflansch (38) an der Außenseite des Tubus (1) übergreift.8. Device according to one of claims 1 to 2 or one of claims 4 to 7, characterized in that the handle ( 2 ) is fixed to a connector ( 29 ) and the tube ( 1 ) detachably connected to the connector ( 29 ) is, preferably by means of a bayonet catch or by means of a union nut ( 37 ) which can be screwed onto an external thread ( 36 ) of the connecting piece ( 29 ) and overlaps an annular flange ( 38 ) on the outside of the tube ( 1 ). 9. Einrichtung nach einem der Ansprüche 1 bis 8, wobei der Tubus (1) auf seiner distalen Seite geschlossen ist, eine den zur proximalen Seite offenen Innenraum (21) abschlie­ ßende Wandung (22) vorgesehen ist und die Behandlungsöffnung (7) im Tubusmantel (40) angeordnet ist, dadurch gekennzeichnet, daß in der distalen Wandung (22) eine Schulter mit einer gezahnten Führungsfläche (23) vorgesehen ist, welche auf die ein im Querschnitt kreisförmiger oder teilkreisförmiger gezahnter Ansatz, vorzugsweise ein Zahnrad (26), eines Nadelhalters (25) aufsetzbar ist.9. Device according to one of claims 1 to 8, wherein the tube ( 1 ) is closed on its distal side, a wall ( 22 ) which closes the interior ( 21 ) which is open to the proximal side and the treatment opening ( 7 ) in the tube jacket ( 40 ), characterized in that a shoulder with a toothed guide surface ( 23 ) is provided in the distal wall ( 22 ), onto which a toothed shoulder, preferably a toothed wheel ( 26 ), of a needle holder is circular or partially circular ( 25 ) is attachable. 10. Einrichtung nach Anspruch 9, dadurch gekennzeichnet, daß sich die Führungsfläche im wesentlichen in der Richtung der Längsausdehnung der Behandlungsöffnung (7) er­ streckt, vorzugsweise aber eben ausgebildet ist.10. The device according to claim 9, characterized in that the guide surface extends substantially in the direction of the longitudinal extension of the treatment opening ( 7 ), but is preferably flat. 11. Einrichtung nach einem der Ansprüche 1 bis 10, dadurch gekennzeichnet, daß der Tu­ bus (1) an seinem distalen Ende offen ist, wobei dieses offene distale Ende die Behand­ lungsöffnung (7) bildet.11. Device according to one of claims 1 to 10, characterized in that the Tu bus ( 1 ) is open at its distal end, this open distal end forming the treatment opening ( 7 ). 12. Einrichtung zur Verwendung bei der Ligatur von intramuralen Arterien in Hohlorganen, welche einen Handgriff (2) und einen in das Hohlorgan, insbesondere das Rektum ein­ zuführenden Tubus (1)umfaßt, wobei die Einrichtung einen proximalen Bereich (3), in dem der Handgriff (2) angeordnet ist, und einen distalen Bereich (4) aufweist, in dem eine Ultraschallsonde (6) für die Lokalisation einer Arterie und eine Behandlungsöffnung (7) angeordnet sind, und wobei eine Beleuchtungseinrichtung vorgesehen ist, insbeson­ dere nach einem der Ansprüche 1 bis 18, dadurch gekennzeichnet, daß im Bereich der der behandelnden Person zugewandten proximalen Seite der Einrichtung eine optische Anzeige zur Darstellung der Ortung einer Arterie vorgesehen ist.12. Device for use in the ligature of intramural arteries in hollow organs, which comprises a handle ( 2 ) and a tube ( 1 ) feeding the hollow organ, in particular the rectum, the device comprising a proximal area ( 3 ) in which the Handle ( 2 ) is arranged, and has a distal region ( 4 ) in which an ultrasound probe ( 6 ) for the localization of an artery and a treatment opening ( 7 ) are arranged, and wherein a lighting device is provided, in particular according to one of the claims 1 to 18, characterized in that an optical display is provided in the area of the proximal side of the device facing the treating person to show the location of an artery. 13. Einrichtung nach Anspruch 12, dadurch gekennzeichnet, daß die optische Anzeige von einem Leuchtdiodenbalken (14) gebildet wird.13. The device according to claim 12, characterized in that the optical display is formed by a light-emitting diode bar ( 14 ). 14. Einrichtung nach einem der Ansprüche 1 bis 13, dadurch gekennzeichnet, daß die Ein­ richtung, vorzugsweise im Bereich der der behandelnden Person zugewandten proxima­ len Seite, einen Ein/Aus-Schalter (13) für die Ultraschallsonde aufweist.14. Device according to one of claims 1 to 13, characterized in that the one direction, preferably in the region of the person facing the proximal len side, has an on / off switch ( 13 ) for the ultrasound probe. 15. Einrichtung nach einem der Ansprüche 1 bis 14, dadurch gekennzeichnet, daß die Ein­ richtung zumindest teilweise mehrfach heißdampfsterilisierbar ist.15. Device according to one of claims 1 to 14, characterized in that the one direction is at least partially steam sterilizable several times.
DE20220338U 2001-02-15 2002-01-31 Intra-mural artery ligation apparatus, comprises a proximal region with a hand grip, a tube and a distal region containing an ultrasound probe Expired - Lifetime DE20220338U1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AT2352001 2001-02-15
EP02002315A EP1234539A3 (en) 2001-02-15 2002-01-31 Device for use during the ligature of an intramural artery in a body cavity

Publications (1)

Publication Number Publication Date
DE20220338U1 true DE20220338U1 (en) 2003-06-05

Family

ID=25608117

Family Applications (1)

Application Number Title Priority Date Filing Date
DE20220338U Expired - Lifetime DE20220338U1 (en) 2001-02-15 2002-01-31 Intra-mural artery ligation apparatus, comprises a proximal region with a hand grip, a tube and a distal region containing an ultrasound probe

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Country Link
DE (1) DE20220338U1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117064324A (en) * 2023-10-16 2023-11-17 山东百多安医疗器械股份有限公司 Self-fixing anoscope with lubricating coating

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117064324A (en) * 2023-10-16 2023-11-17 山东百多安医疗器械股份有限公司 Self-fixing anoscope with lubricating coating
CN117064324B (en) * 2023-10-16 2023-12-12 山东百多安医疗器械股份有限公司 Self-fixing anoscope with lubricating coating

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Effective date: 20030710

R150 Utility model maintained after payment of first maintenance fee after three years

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R152 Utility model maintained after payment of third maintenance fee after eight years

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