Device for single-moment bloodless adenomectomy
SUBSTANCE: device contains a tubular drill that is connected by its rear end to an electric drill and is an electro coagulator. Tissues cut with a drill with coagulated masses are sucked through the tube lumen and are delivered through the tap into a reticulated basket with volumetric divisions in the vacuum cylinder, where the completeness of adenomal tissues removal is determined by comparison with the preoperative volume of the adenoma.
EFFECT: minimal damage to the anatomical structures and tissues of the area.
SUBSTANCE: invention relates to medical equipment, namely to instruments for measuring length of cervix of uterus in vaginal vault and cervix of uterus dilation. Device for measuring cervix of uterus length contains elongated measuring unit, hollow unit, flange, handle and lock mechanism. Elongated measuring unit extends along longitudinal axis and includes measuring scale located on it. Hollow unit is coaxial with elongated measuring unit and is located above it. Flange is displaced from longitudinal axis and is fixed to distal end of hollow unit. Handle is fixed to proximal end of measuring unit. Lock mechanism is made on handle. Lock mechanism is made with possibility to fix hollow unit relative to measuring unit in case of blocking, and in case of de-blocking to provide possibility for hollow unit to slide along measuring unit and to rotate around longitudinal axis in such a way as to place flange in required position of rotation without moving measuring scale. Proximal end of hollow unit is made with possibility of sliding in handle.
EFFECT: invention provides simplicity, ease and accuracy of performing measurements.
11 cl, 8 dwg
SUBSTANCE: animal is placed on the movable thermostated preparation microscope stage. Median laparotomy is carried out. Bleeding is stopped by thermocoagulation, fixing the wound edges using ligatures. Paramedial incision is made in the right at the level of lower third of abdomen, through which the removable hollow light guide of cylindrical shape is inserted into the abdominal cavity and it is filled with indifferent oils or normal saline. The mesentery of small intestine is thrown on the upper end of the light guide and biomicroscopy is carried out using a fixed camera for a microscope, connected to the personal computer, the results are recorded at various stages of research, followed by treatment of the data obtained, using a computer program.
EFFECT: method eliminates drying and adhesion of the area under study, as well as bending the vessels, which enables to perform long-term studies.
SUBSTANCE: method of detecting pathology of respiratory organs includes the visual examination of the tracheobronchial tree with the application of an optic system of a bronchoscope. The bronchoscope is introduced into the tracheobronchial system, with the control of the introduction depth, position of the bronchoscope is changed and listening to acoustic phenomena in real time at different levels of the tracheobronchial tree is realised. For this purpose used is an acoustic sensor, installed in a detachable way in the instrumental channel of the bronchoscope and made in the form of a microphone and connected to means for registration, recording and analysis. Zones of the tracheobronchial tree are simultaneously subjected to visual examination. A zone of the tracheobronchial tree affection is determined by data of visual examination and the form and intensity of the acoustic phenomena. The bronchoscope includes an elongated tube with the instrumental channel for the installation of detachable surgical instruments and an optic channel for the detachable optic system and the acoustic sensor, installed in a detachable way in the instrumental channel.
EFFECT: increased accuracy of pathology detection in real time.
2 cl, 1 dwg
SUBSTANCE: invention relates to medicine and can be applied for the fixation of an external endoscope catheter. Fastening elements are made in the form of two mechanically conjugated semi-rings, facing opposite sides, the internal diameter of which corresponds to the external diameter of the catheter and the external diameter of the endoscope, the width of the smaller ring constitutes 2-6 catheter diameters, and the width of the larger ring constitutes 1-4 endoscope diameter(s).
EFFECT: device makes it possible to increase exploitation reliability.
2 dwg, 3 ex
SUBSTANCE: invention relates to medicine, namely to neurosurgery, neurooncology, and can be used for the treatment of glial brain tumours of a supratentorial localisation. For this purpose photodithazine in a dose of 1 mg/kg of body weight is introduced to a patient 2 hours before the tumour ablation. After that, surgical access to the tumour is performed. The operation wound is illuminated by blue colour with a wavelength of 400 nm, and the tumour boundaries are determined by means of fluorescence of photodithazine, selectively accumulated in the tumour tissue. The tumour is ablated under control of the tumour luminescence in blue colour with the application of an operation microscope. After that, a flexible light guide from a radiation source with a wavelength of 662 nm and power of 2.0 W with a light dispersing nozzle is placed into the tumour bed and the perifocal zone of the tumour is irradiated. The dose of irradiation is determined by the disappearance of fluorescence.
EFFECT: method provides an increase of the treatment efficiency due to the reliable clear determination of the tumour tissue boundaries with the normal brain substance independent on the malignancy degree and character of the tumour growth, with an increase of its ablation radicality, as well as due to the destruction of cells, located in the perifocal zone.
2 cl, 1 ex
SUBSTANCE: duodenoscopy is performed with the use of an endoscope with its inspection window on the side. The greater duodenal papilla is visualised. It is cannulated with a Teflon catheter with a working end having an aperture in the middle. An end face of the working end of the catheter is inclined at an angle of 45°. Two apertures of 0.2 cm in diameter are arranged oppositely diametrically on its sides. The first aperture is arranged at 0.4 cm from the end face. The second is found at 0.8 cm. A metal lift is actuated to advance the catheter into a lumen of the common bile duct. A sterile syringe is attached to a connector of the catheter; the syringe is pulled out to draw the bile into the catheter. The syringe piston is pulled out to a 8 ml mark and then released. The manipulation is repeated until the bile penetrates into the syringe. After the bile ingress into the syringe is visualised, the piston is pulled out to a 5 ml mark. A 2-second pause is made. The piston is released. In the course of bile aspiration, the catheter is advanced along the common bile duct 1-2 cm above.
EFFECT: method enables fast and effective bile aspiration from the lumen of the common bile duct, preparation of the material free from the intestinal discharge and pancreatic fluid, as well as reduces a risk of the catheter suction to a wall of the common bile duct ensured by the catheter structure and a certain sequence of the syringe piston motions.
4 dwg, 1 ex
SUBSTANCE: group of inventions refers to medicine. An optical probe comprises: an optic guide with a distal end; a drive body and system with driven coils displacing the distal end by a displacement force. The optic guide is integrated inside the body so that the distal end can be displaced in relation to the body. Exciting current is corrected by a drive train with a feedback circuit. The feedback circuit determines an adjustment member and comprises: a unit for current feed to the driven coils; a unit for temporary exciting current cut-off and a unit for comparing a specified position and measured speed. The unit for temporary exciting current cut-off comprises a switch; a measuring chain configured to measure a speed of the distal end. The unit for comparing is configured to: measure the specified speed from the specified position and to compare the specified speed and the measured speed to derive a difference; or to determine the measured position from the measured speed and to compare the specified position and the measured position to derive the difference, thereby correcting the exciting current, if the difference exceeds the specified level. An optical visualisation system comprises: an optical probe, an emitting source and an emission sensor optically connected to the optical probe.
EFFECT: using the given group of inventions enables eliminating the onset of artefacts in image construction from the probe travel.
10 cl, 6 dwg
SUBSTANCE: invention can be used for the purpose of the early prediction of a risk of peripheral vitreochorioretinal dystrophies (PVCRD) on a paired eye after regmatogenous retinal detachment (RRD) surgeries. The IL18 content in the sub-retinal fluid (SRF) taken intraoperatively from an RRD eye is measured; if the measured value makes 550 pcg/ml, the PVCRD is predicted on the paired eye.
EFFECT: invention enables the preventive treatment of the paired eye in case of the risk of the developing PVCRD before the clinical manifestations of the developing PVCRD in the individual with operated retinal detachment on the other eye.
SUBSTANCE: invention refers to medicine, to surgery. A patient is fixed on a surgical table. An anaesthesia care is provided. That is followed by approaching from a superior-median laparotomy. Wound retractor hooks have an effect on the ribcage and breast bone. That is combined with forming a surgical approach, first by separating the incision wound edges with two rib hooks for normosthenic, asthenic and hypersthenic types.
EFFECT: method provides the adequate wound opening with the low number of patient's injuries, improves the objective control when performing the surgical approach.
2 dwg, 2 tbl
SUBSTANCE: endoscope with a variable scan direction configured so that to insert the device into a human or animal cranial cavity; it comprises an extended body having a proximal end, a distal end and an outer diameter equal to no more than approximately 5mm, an inspection window along the body on the distal end or thereby, an in-built rotary prism integrated into the body close to the distal end, designed for varying the endoscope scan direction, and built into a case functionally mated with a rotating axis directed proximally; a distal portion of the axis is threaded to engage with teeth on the case; there are also provided a self-focusing lens inside the body and automatically focusing an image displayed in the inspection window as the prism rotates, and a handle connected to the proximal end of the extended body. The handle comprises a first rotating dial to adjust a viewing angle of the endoscope by turning the prism, and the first dial rotates about a long axis of the body.
EFFECT: device enables avoiding the intraoperative removal of a lesser pancreas.
10 cl, 31 dwg
SUBSTANCE: group of inventions relates to medicine. An instrument for arthroscopic resection in accordance with the first version contains an external tube and an internal tube. The internal tube is located inside the said external tube and contains an arthroscopic drill, which has a working part with grooves, passing along the length of the said working part and containing parabolic wave-like relief elements, located along external edges of the said grooves. The instrument for arthroscopic resection in accordance with the second version contains an external tube and an internal tube. The internal tube is located inside the said external tube and contains an arthroscopic drill, which has a working part with grooves, passing along the length of the said working part, and an extreme end with grooves. The extreme end and the working part have a different number of grooves. The grooves on the said working part or on the said extreme part contain parabolic wave-like relief elements, located along external edges of the said grooves.
EFFECT: group of inventions provides more intensive cutting with obtaining fragments of a smaller size in the resection of a tissue or a bone and, therefore the reduction of a probability of the instrument clogging and preventing the vision of the operation field by a surgeon, reduction of a probability of appearance of undesirable harmonics or resonances in the instrument.
11 cl, 3 dwg
SUBSTANCE: treating mastoid diseases complicated with thrombophlebitis involves removing a pathologically changed bone, opening all mastoid process cells, exposing a sigmoid sinus and puncturing it with removing a thrombus. That is followed by plugging a sinus lumen with High-structure sodium alginate hydrogel matrix with pre-added dioxidine 0.03 g. The matrix surface is coated with Hydrogel Coletex AKL tissue. The antretomastoid cavity walls are covered with the same material, whereas a latex tampon pre-coated with Hydrogel Coletex-ADL tissue is used for plugging.
EFFECT: method provides the early generation of granulation tissue, the protective and haemostatic effect in the wound, reduces the length of treatment, prevents early and late complications and thereby improving the patient's quality of life.
3 dwg, 2 ex
SUBSTANCE: rib perforator consists of fixed and movable portions. A retaining clamp connected to pivoted handles forms a fixed portion of a rib perforator configured to grip and fix a rib in a frontal plane. A retaining clamp is designed in the form of two jaws having guide openings and tooth elements on a butt end. An L-lever is pivotally mounted coaxially with the handles and represents a movable portion of the perforator and has a handle and a working portion in the form of a head with a nest which comprises a removable working instrument, e.g. in the form of perforation needles for canal generation in the rib.
EFFECT: using the invention enables reducing the incision size significantly for inserting the perforator and eliminating the need for elevating the periosteum and pleura.
2 cl, 5 dwg
SUBSTANCE: invention refers to medicine. A surgical instrument with proximal and distal end sections and a middle section extending in between comprises an elongated, hollow external rod extending from the proximal end section to the distal end section, a driving element rotating inside the external rod, as well as a boring, cutting, abrasive or milling instrument on the distal end section of the instrument and connected to the driving element. The driving element has a flexible section between the proximal and distal end sections comprising a number of ring segments each of which has first and second axially spaced end segments, the first of which comprises two or more axially projecting flanges, and the second end segment - two or more female hollows. The ring segments are movably stepped into each other with flanges and hollows. The flanges and hollows of the ring segments are coupled together and geometrically coupled in the axial and/or radial direction. The external rod comprises a conjunction zone within the distal end segment movably connecting the distal end segment and the middle segment together. The flexible segment of the driving element has an axial length that relates to at least an axial length of the conjunction zone of the external rod. The instrument comprises a control element provided on the external rod and used to deflect the distal end segment of the instrument in relation to the middle segment.
EFFECT: invention provides cutting the manufacturing expenses and ensuring the more reliable operation, first with high rotation speed and a number of various operating situations.
27 cl, 7 dwg
SUBSTANCE: invention refers to medical equipment, namely to equipment used in odontology in preparing a prosthesis area. A method is implemented by drilling a hole in a maxillary bone projecting under the sinus membrane. Additionally, an ultrasonic insert is introduced into the drilled hole; the ultrasonic insert comprises a body extending from its proximal part mechanically connected with a surgical manipulator generating ultrasonic vibration to its distal portion generating ultrasonic vibration transmitted by the manipulator. The distal portion of the insert comprises a ring element with an increasing section end of which is formed by a flat surface perpendicular to a longitudinal axis of a distal portion. The body is bent between the proximal and distal portions, while the insert additionally comprises an internal irrigation channel projecting onto the flat surface, and ultrasonic vibration is transmitted onto the insert in a combination with supplying the spray into the internal irrigation channel of the insert so that to generate cavitation in the spray under the sinus membrane to provide the effect of pneumatic pressure on the membrane o lift the membrane without contact with the insert.
EFFECT: using the invention enables reducing a risk of the sinus membrane rupture if lifted.
5 cl, 6 dwg
SUBSTANCE: invention relates to medical equipment and can be used for drilling channel in bone. Device for bone processing contains cutter, holder with shank on proximal end, coupling, made from metal spring, which has direction of coiling, corresponding to direction of inclination of cutter cutting edges, and flexible rod, placed in inner channel of holder. Device is provided with connector, cutter - shank with screw thread, rod being provided with spike-like limiter, installed on its distal end. Holder is made in form of two concentric hollow springs. Internal spring is made with screw coiling, direction of coils in which is opposite to direction of coils on outer spring. Connector is fixed on distal end of holder and is made in form of ring. Internal lateral surface of ring has screw thread with direction of thread opposite to direction of screw thread on cutter shank. Holder shank and cutter with shank have longitudinal through channels. Channels are continuation of longitudinal channel of inner spring of holder in proximal and distal directions respectively. Rod is placed inside channels with possibility of longitudinal travel and rotation.
EFFECT: application of device makes it possible to perform processing of long channels in bone, which has different structure, in efficient way.
SUBSTANCE: device refers to medical appliances applied in surgical orthopaedics and traumatology. The device comprises a handle with a rod and a removable stylette. The rod is positioned in a cross hole of a cylindrical body to vary a handle shape between longitudinal to X-shaped and L-shaped. The removable stylette is presented by K-wire fragments of the diameter of 0.5 to 2.0 mm one end of which is pointed and graduated, while the other one is formed by a double base of a wire fragment. The base of the wire fragment is adjusted and fixed by a fastening mechanism of the handle of the device.
EFFECT: higher effectiveness of the orthopaedic-traumatological surgeries accompanied by osteoperforation.
SUBSTANCE: invention relates to medical equipment and can be used for dissection of bone and other tissue. Surgical instrument contains rotating shaft, connected with instrument of dissection and case element with base, made as a single entity. Chamber of rotor case is limited by base. Rotating shaft is located in chamber of rotor case. Case of first bearing is limited by base and is located adjacently to chamber of rotor case and places inside first bearing interacting with rotating shaft. Case of second bearing is limited by base is located on the side of rotor case chamber opposite to case of first bearing and places inside second bearing interacting with rotating shaft. Canal is limited by base and its action is aimed at direction of compressed air through base into rotor case chamber for rotation of rotating shaft.
EFFECT: drive mechanism for surgical instrument has improved construction.
20 cl, 5 dwg
SUBSTANCE: invention relates to medical equipment and can be sued in formation of amputation stump of extremity. Device for processing butt end of bone saw includes case in form of cone with stem. In case cutting knives of trapezoidal shape are installed. Apex of case cone is closed tightly and is made in form of stopping to prevent bleeding and outflow of bone marrow from tubular bone cavity.
EFFECT: obtaining instrument for formation of amputation stump of extremity.
SUBSTANCE: invention relates to medical equipment and can be used for drilling canal in bone. Device for bone processing contains holder with stem on proximal end, coupling, rod, placed into internal canal of holder and cutter. Holder with stem and coupling are made from metal spring. Device is provided with connector, cutter is provided with stem with screw thread, and rod is provided with spike-like limiter, installed on its distal end. Connector is fixed on distal end of holder and is made in form of ring, whose internal lateral surface has screw thread with thread direction opposite to thread direction of screw thread on cutter stem. Holder stem and cutter with stem have longitudinal through canals which are continuation of longitudinal canal of holder in proximal and distal directions respectively, and rod is placed inside said canals with possibility of longitudinal movement and rotation.
EFFECT: device makes it possible to perform efficient processing of extended canals in bone with different structure.
SUBSTANCE: cutters comprise stem and cutting part. The cutting part has straight cutting edges and hollows. The hollows form an angle from 60° to 90°.
EFFECT: simplified surgical intervention.
2 cl, 2 dwg