Deflectable endoscopic instrument system DENIS
Deflectable endoscopic instrument system DENIS
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可偏转内窥镜器械系统 DENIS
DOI：
10.1007/s004649900523
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
B. Halfar
中科院分区：
文献类型：
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作者：
A. Melzer;K. Kipfmüller;B. Halfar
背景：在腹腔镜手术期间，使用刚性标准器械的术中移动程度仅限于插入点内的平移、旋转和枢转。额外的远端成角和旋转的器械钳口是一个潜在的improvement.Methods：不同类型的关节器械已开发和测试中的幻影和动物实验。最终的原型在腹腔镜手术过程中被用于30名患者，遵循标准化的测试protocol.Results：最终的设计包括弹性连接的管状段，0-120°可变曲率，和+/-360°旋转的钳口元件。所有功能都可以用一只手操作。在幻影和腹腔镜手术的测试表明，改善处理的器官和组织，没有并发症。结论：我们能够证明的技术设计的可行性和可偏转内窥镜仪器系统的临床适用性。虽然我们的初步结果表明，腹腔镜组织操作的改善，目前的偏转和钳口旋转需要进一步的技术完善。
Background:The degrees of intraoperative movement with rigid standard instruments during laparo-endoscopic surgery are limited to translation, rotation, and pivoting within the insertion point. Additional distal angulation and rotation of the instrument jaws are a potential improvement.Methods:Different types of articulated instruments have been developed and tested in phantom and animal experiments. The final prototype was used on 30 patients during laparoscopic surgery following a standardized test protocol.Results:The final design incorporates elastically linked tubular segments, 0–120° variable curvature, and +/–360° rotation of the jaws element. All functions can be operated with one hand. Testing on phantom and in laparoscopic surgery showed improved handling of organs and tissue with no complications.Conclusion:We were able to demonstrate the feasibility of the technical design and the clinical applicability of a deflectable endoscopic instrument system. Although our initial results indicate an improvement in laparoscopic tissue manipulation, the current deflection and jaw rotation require further technical refinement.